Provider Demographics
NPI:1396610606
Name:MOSAIC INSTITUTE PLLC
Entity type:Organization
Organization Name:MOSAIC INSTITUTE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAGALY
Authorized Official - Middle Name:
Authorized Official - Last Name:PASSOS-HOKE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:224-704-6791
Mailing Address - Street 1:1037 BRIARBROOK DR APT 1A
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60189-8662
Mailing Address - Country:US
Mailing Address - Phone:224-704-6791
Mailing Address - Fax:
Practice Address - Street 1:1037 BRIARBROOK DR APT 1A
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60189-8662
Practice Address - Country:US
Practice Address - Phone:224-704-6791
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-07
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty